Neonatal Life Support/Resus Flashcards Preview

Jason's MD3 Women's > Neonatal Life Support/Resus > Flashcards

Flashcards in Neonatal Life Support/Resus Deck (29):
1

What is basic resus in neonate?

Up to Positive pressure ventilation
If needs more, like chest compressions, need advanced

2

Neonatal resuscitation Focus is?

Respiration
Ventilation

3

Fetal circulation

ductus Portal vein >IVC>RA>Ovale>LA>LV>systemic
Any blood that gets into RV and pulmonary artery passes into aorta via duct ductus arteriosus

4

Adaptation following birth in Resp?

Lung expands
Decreased PVR
More pulmonary blood flow
Systemic vascular resistance increases with clamping
Functional closure of ductus arteriosus via dramatic increase in pulmonary blood flow

5

3 things to ask when baby is born?

Term?
Breathing/crying
Good tone (flexed, not floppy/extended)

6

How to stimulate baby?

Flick toes
Rub chest

7

What to do at resus after initial assessment?

Maintain normal temp
Ensure open airway
Stimulate

8

HR in Neonatal resuscitation?

>100/min

9

If HR is

Positive pressure
SP02 monitoring

Reassess after 30seconds

10

If all else fails in Neonatal resuscitation, what drugs?

Adrenaline
Volume expansion
O NEG blood

11

Colour in baby?

Not really reliable: use Sp02

12

Assess HR

110-160
Listen to via stethoscope
Can palpate cord for pulsation S

13

Signs of a compromised newborn

Not crying
Not breathing/gasping
Bradycardia:

14

What is open airway in Neonatal resuscitation ?

Neutral: 15-20degrees extension 'sniffing position'

15

T-piece/Neopuff settings?

25 32 was
Good seal
Connect gas
RR: 40-60

16

When to ventilate a baby?

Brady
No breathing

17

O2 for resus? %?

>32 weeks? Room air

18

When to intubate a neonate?

If HR

19

How to know successful intubation?

Improve HR
CO2 detector (gold is good)

20

When bag mask ventilation not indicated?

diaphragmatic hernia

21

When give chest compressions in Neonatal resuscitation ? How much O2?

22

How much for effective chest compression?

1/3 of AP diameter

23

Most effective route for IV access in Neonatal resuscitation ?

Umbilical vein

24

How many events and breath/compressions in Neonatal resuscitation ?

120 events
30 breaths
90 compressions
1:3

25

When to use I/O in Neonatal resuscitation?

Fluid bolus

26

Adrenaline dose for Neonatal resuscitation?

0.1 - 0.3ml/kg 1:10,000

10x the dose if down endotracheal tube

27

Extra considerations for preterm baby Neonatal resuscitation ?

Increase ambient temp
Poly there plastic bad
Gentle handling
Surfactant
Senior medical staff

28

When discontinue Neonatal resuscitation ?

If no response after 10 minutes of maximal resus. No hard and fast rule.

29

Post resus care?

Monitoring: vitals
Engage family, debrief.